| NPI | 1376857581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 731105) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2012-02-08 |